195850339-1-17-2026-29-AS-DPEA-DQR8RL-20260127214456

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 195850339
Report Date: 01/15/2026
Date Signed: 01/17/2026 11:54:54 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/13/2026 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20260113100622

FACILITY NAME:	INN AT THE PARK VENTURA		FACILITY NUMBER:	195850339
ADMINISTRATOR:	ANGUIANO, ROSE		FACILITY TYPE:	740
ADDRESS:	21200 VENTURA BLVD		TELEPHONE:	(818) 884-7100
CITY:	WOODLAND HILLS	STATE: CA	ZIP CODE:	91364
CAPACITY:	200	CENSUS: 140	DATE:	01/15/2026
		UNANNOUNCED	TIME BEGAN:	03:56 PM
MET WITH:	Rose Anguiano and Alexander Solorio, Assistant Administrator		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Facility staff are not preventing a resident from making threats towards another resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Zabel Chochian conducted a complaint visit regarding above allegation. LPA met with Administrator Rose Anguiano. The reason for the visit was explained.

On 01/13/2026, Community Care Licensing Division received the above allegation. It was alleged that resident was threatened by the roommate and when staff were informed, they didn't do anything about it. Information was provided that the roommate stays up all night and is "mentally unstable". Resident feels threatened living with their roommate.

During todays visit, allegation was discussed with Administrator at approximately 11:15am. Administrator explained that resident #1 (R1) reported to staff on Monday, 1/12/2026 about having an issue with the roommate on Saturday, 01/10/2026, which R1 felt threatened. No altercation was reported or observed. Administrators met with R1 and R2. R2 agreed to be transferred to another room. Staff interviewed did not observe any incident involving R1 and R2. (Continue to LIC9099c)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20260113100622

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: INN AT THE PARK VENTURA	FACILITY NUMBER: 195850339
	VISIT DATE: 01/15/2026

NARRATIVE

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Staff stated that R1 did not report any previous threats or report feeling unsafe prior to 01/12/2026.

LPA conducted random resident interviews from approximately 12pm-1pm. R1 declined to be interviewed. R1 would not allow LPA to enter room and screamed out to LPA who was standing outside R1’s door “everything is ok leave me alone”. LPA and assistant administrator walked away and continued with other resident interviews. LPA conducted interview with R2 and was informed that they agreed to be transferred to a different room since they were not getting along with their roommate. R2 confirmed being satisfied with the new room and roommate. Other random residents interviewed stated that they feel safe. Random residents reported that anytime there is a physical or verbal altercation staff are present and either redirect or contact law enforcement.

Based on the above information gathered although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Facility staff are not preventing a resident from making threats towards another resident” is deemed Unsubstantiated at this time.

Exit interview conducted. A copy of the report was provided.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026

LIC9099 (FAS) - (06/04)

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